T12_3_2_1_1

2011 National Healthcare Quality and Disparities Reports

The National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.

Table 12_3_2.1_1
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions,a age 18 and over,b United States, 2000, 2004, 2005, 2007, and 2008
  20082007200520042000
Population groupRateSERateSERateSERateSERateSE
Total 4.00.014.10.013.80.013.90.013.80.01
Age18-443.90.033.80.033.60.033.70.033.30.03
45-644.90.024.90.024.60.024.70.024.60.03
65 and over3.50.023.80.023.40.023.60.023.70.02
  65-695.00.045.20.054.80.054.90.054.90.05
  70-744.60.044.80.044.20.044.50.044.70.04
  75-793.90.044.20.043.80.044.00.044.10.04
  80-843.10.033.30.042.90.043.00.043.10.04
  85 and over1.60.021.80.021.60.031.70.031.70.03
GenderMale3.40.023.50.023.20.023.30.023.30.02
Female4.60.024.70.024.30.024.50.024.30.02
Median income of patient's ZIP CodeFirst quartile (lowest income)4.10.024.10.023.70.023.80.023.80.03
Second quartile4.10.024.20.023.80.023.90.023.90.02
Third quartile4.10.024.20.024.00.024.10.034.00.03
Fourth quartile (highest income)3.90.034.00.023.70.034.00.023.70.03
Location of patient residenceLarge central metropolitan4.00.023.90.023.70.023.70.023.40.02
Large fringe metropolitan4.00.023.80.023.60.033.80.023.70.02
Medium metropolitan4.10.034.50.033.90.034.20.034.40.03
Small metropolitan4.00.044.50.044.30.044.00.044.20.04
Micropolitan4.00.044.30.043.90.044.20.043.80.04
Noncore4.10.044.00.053.80.044.00.044.20.04
Expected payment sourcePrivate insurance4.10.024.10.023.80.023.90.023.70.02
Medicare4.00.024.20.023.80.024.00.024.10.02
Medicaid4.20.044.00.053.90.054.00.053.60.05
Other insurance4.70.074.30.074.00.073.90.073.20.07
Uninsured/self-pay/no charge3.50.063.60.063.00.063.30.063.00.07
Region of inpatient treatmentNortheast3.80.033.70.033.20.033.70.033.50.03
Midwest4.10.034.00.034.10.033.80.034.00.03
South3.90.024.00.023.40.023.70.023.70.02
West4.50.034.90.034.80.034.80.034.20.03
Ownership/control of hospitalPrivate, not for profit4.00.014.10.013.80.013.90.013.90.01
Private, for profit3.50.033.80.033.50.033.50.043.70.04
Public4.80.034.60.034.10.034.60.033.70.04
Teaching status of hospitalTeaching4.40.024.30.024.20.024.40.023.90.02
Nonteaching3.80.024.00.023.60.023.70.023.80.02
Location of hospitalLarge central metropolitan4.40.024.10.024.00.024.00.023.80.02
Large fringe metropolitan3.60.033.60.033.40.033.60.033.50.03
Medium metropolitan4.10.034.50.034.00.034.20.034.50.03
Small metropolitan3.90.044.60.044.10.044.00.044.10.04
Micropolitan3.60.043.90.043.60.044.00.043.00.04
Noncore2.90.093.30.082.20.082.70.083.70.07
Bed size of hospitalLess than 1003.60.043.70.043.30.043.20.043.30.04
100-2993.70.023.90.023.60.023.70.023.50.02
300-4994.00.024.30.023.90.024.20.024.10.02
500 or more4.60.024.50.034.10.034.20.024.20.03

a. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software requires that the accidental puncture or laceration be reported as a secondary diagnosis (rather than the principal diagnosis), but unlike the AHRQ PSI software, the secondary diagnosis could be present on admission. Consistent with the AHRQ PSI software, the following cases are excluded: obstetric admissions and admissions involving spinal surgery.

b. Rates are adjusted by age, gender, age-gender interactions, comorbidities, major diagnostic category (MDC), diagnosis-related group (DRG), and transfers into the hospital. When reporting is by age, the adjustment is by gender, comorbidities, MDC, DRG, and transfers into the hospital; when reporting is by gender, the adjustment is by age, comorbidities, MDC, DRG, and transfers into the hospital. The AHRQ PSI software was modified to not use the present on admission (POA) indicators (or estimates of the likelihood of POA for secondary diagnosis).

Key: SE: standard error.

Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators, modified version 4.1.

 

Page last reviewed March 2012
Internet Citation: T12_3_2_1_1: 2011 National Healthcare Quality and Disparities Reports. March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr11/12_patientsafety/T12_3_2_1_1.html